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Licenses
Medical Practice
Florida
45802
GRANT C HENDERSON
Medical Practice at 63 Ave, Saint Petersburg, FL
License number
Florida 45802
Issued Date
Dec 12, 2013
Effective Date
Dec 12, 2013
Expiration Date
Aug 31, 2018
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
2
1400 63Rd Ave S, Saint Petersburg, FL 33705
5610 W La Salle St, Tampa, FL 33607
Phone
(813) 758-7607
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